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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40606/psn-pdf
    October 31, 2011 - The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. October 31, 2011 Pastores SM, O'Connor MF, Kleinpell R, et al. The Accreditation Council for Graduate Medical Education resident duty hour new standards: hist…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36086/psn-pdf
    June 14, 2011 - Sensemaking of patient safety risks and hazards. June 14, 2011 Battles J, Dixon NM, Borotkanics RJ, et al. Sensemaking of patient safety risks and hazards. Health Serv Res. 2006;41(4 Pt 2):1555-1575. https://psnet.ahrq.gov/issue/sensemaking-patient-safety-risks-and-hazards This commentary discusses the concept of …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44682/psn-pdf
    March 15, 2016 - On resident duty hour restrictions and neurosurgical training: review of the literature. March 15, 2016 Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS142796. https://psnet.ahrq.gov/issue/r…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838141/psn-pdf
    September 21, 2022 - New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. September 21, 2022 Lovelace Jr, B. NBC News. September 7, 2022. https://psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors Look-alike sound-alike packaging is a known risk factor in medi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47843/psn-pdf
    March 06, 2019 - Structural iatrogenesis—a 43-year-old man with "opioid misuse." March 6, 2019 Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473. https://psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse The…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48147/psn-pdf
    July 24, 2019 - Patient Safety Ethics: How Vigilance, Mindfulness, Compliance, and Humility can Make Healthcare Safer. July 24, 2019 Banja JD. Baltimore, MD: Johns Hopkins University Press; 2019. ISBN: 9781421429083. https://psnet.ahrq.gov/issue/patient-safety-ethics-how-vigilance-mindfulness-compliance-and-humility-can- make-hea…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837517/psn-pdf
    June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42658/psn-pdf
    March 17, 2014 - Systematic review of the application of the plan-do-study- act method to improve quality in healthcare. March 17, 2014 Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290-8. doi:10.1136/bmjqs-2…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50782/psn-pdf
    January 08, 2020 - What can patient safety teach us about clinician burnout? January 8, 2020 Wu AW, Dzau VJ. What Can Patient Safety Teach Us About Clinician Burnout? Ann Intern Med. 2019;171(12):933-934. doi:10.7326/m19-2397. https://psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout This commentary discu…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48133/psn-pdf
    November 01, 2024 - The NHS Patient Safety Strategy. November 1, 2024 NHS England https://psnet.ahrq.gov/issue/nhs-patient-safety-strategy The United Kingdom National Health Service (NHS) has been at the forefront of patient safety innovation. This strategy seeks to further implement approaches that explore and optimize the intersect…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37879/psn-pdf
    July 02, 2008 - Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents. July 2, 2008 Fletcher KE, Parekh V, Halasyamani L, et al. Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents. J Hosp Med. 2008;3(3):228-37. d…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44749/psn-pdf
    December 27, 2018 - Southern Baptist Hospital of Florida v. Charles. December 27, 2018 Fla Ct App, 1st Dist. October 28, 2015. https://psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles The Patient Safety and Quality Improvement Act (PSQIA) provides federal protection of adverse event reports voluntarily submitted to pa…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60765/psn-pdf
    August 05, 2020 - Coronavirus: can this California prison save itself from Covid-19? August 5, 2020 Honderich H, Popat S. Coronavirus: Can this California prison save itself from Covid-19? BBC News, Washington. 2020;Jul 27. https://psnet.ahrq.gov/issue/coronavirus-can-california-prison-save-itself-covid-19 Omissions in standard pr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48159/psn-pdf
    July 31, 2019 - Fatigue in radiology: a fertile area for future research. July 31, 2019 Taylor-Phillips S, Stinton C. Fatigue in radiology: a fertile area for future research. Br J Radiol. 2019;92(1099):20190043. doi:10.1259/bjr.20190043. https://psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research Physician fatigu…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38099/psn-pdf
    October 01, 2008 - Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. October 1, 2008 Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Arch Surg. 2008;143(9):847-5…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36505/psn-pdf
    February 16, 2011 - Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. February 16, 2011 Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictions: restructuring the 80-hour w…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47253/psn-pdf
    September 05, 2018 - Curriculum development and implementation of a national interprofessional fellowship in patient safety. September 5, 2018 Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2018;14(3):127-132. doi:10.1097/PTS.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44736/psn-pdf
    December 16, 2015 - Harms from discharge to primary care: mixed methods analysis of incident reports. December 16, 2015 Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687877. https://psnet.ahrq.gov/is…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60969/psn-pdf
    November 08, 2023 - Network of Patient Safety Databases Chartbook. November 8, 2023 Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23- 0082. https://psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook The sharing of data is a core element of a learning health system. AHRQ h…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865974/psn-pdf
    May 29, 2024 - Minimizing bias when using artificial intelligence in critical care medicine. May 29, 2024 Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796. https://psnet.ahrq.gov/issue/minimizing-bias-when-us…
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